Individual
AMBER WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4750
Mailing address
1200 GENE DR, CHELSEA, MI 48118-1414
(419) 210-4040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015345
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501015345
STATE OF MICHIGAN
OH
Enumeration date
07/20/2017
Last updated
07/20/2017
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